Réhabilitation des cavités orbitaires par kératectomie lamellaire avec recouvrement conjonctival
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Rehabilitation of the orbit by lamellar keratectomy with conjunctival flap.
Leila Knani1,2; Mehdi Oueslati1; Mohamed Ghachem1; Nesrine Zaafrane1,2; Salah Yaakoubi1,2; Mohamed Ghorbel1,2
1 Service d’Ophtalmologie, CHU Farhat Hached, Sousse (Tunisie)
2 Université de Sousse, Faculté de Médecine de Sousse, 4000, Sousse. Tunisie
Keywords
Orbit, phtisis bulbi, Lamellar keratectomy, conjunctival flap
Abstract
Introduction. Lamellar keratectomy with conjunctival flap is different from mutilating surgery (evisceration and enucleation) in the conservation of orbital content. It is an interesting technique. We report the results of our series of 41 patients.
Patients and methods. We conducted a retrospective study reviewing the records of patients who underwent lamellar kera- tectomy with conjunctival flap. Post-operative outcome and complications were noted. The mean follow-up was 25 months (range 2 months to ten years).
Results. Fourty one patients (41 eyes) were identified. The mean age at surgery was 23,6 years. An excellent cosmetic appea- rance was achieved in 33 patients (80,5%). Postoperative complications were noted: a dehiscence of sutures in 7 % of cases (3 patients), and an epithelial inclusion cyst in 12% of cases (5 patients).
Discussion. Lamellar keratectomy with conjunctival flap has several advantages: It is better accepted psychologically, sim- pler and faster than mutilating surgery. Preservation of orbital content guarantees a very satisfactory appearance. Compli- cations are rare.
Conclusion. Keratectomy with conjunctival flap is a simple and effective technique for painless and non-tumor mild phtisis bulbi.